Completion of SMT-1 is required prior to taking EMT-1 because musculoskeletal extremity pain and dysfunction rarely occur in isolation and have been found in the most recent literature to be frequently associated with underlying spinal dysfunction.

This two-day (15 contact hours) technique-based course will emphasize the actual physical delivery of high-velocity low-amplitude (HVLA) thrust manipulation procedures to the upper and lower extremity articulations for the management of a variety of peripheral musculoskeletal conditions.

In addition, in order to appropriately frame the use of spinal and extremity manipulation within evidence-based practice, biomechanical (peripheral), spinal (segmental), and supraspinal (cortical) models will each be presented as possible mechanisms for the immediate hypoalgesic effects observed following HVLA thrust manipulation in the extremities and spine.